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&quot;This sums it all up really - nursi...Exactly.<br /><br />&quot;This sums it all up really - nursing staff are progressively being replaced by HCAs and yet the government and public fail to recognise the difference between trained nurses and teenagers fresh of the street&quot;<br /><br />Quote of the month. When it gets to the point that there are no Nurses at all on the wards and patients are dying because they are not getting drugs, getting overloaded with IVI&#39;s etc etc the public will still be saying that &quot;the whole problem was when they put nurse training into higher education&quot;<br /><br />That&#39;s how dumb they are.Nurse Annehttp://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-75423545776124819452010-08-01T03:45:30.194-07:002010-08-01T03:45:30.194-07:00Shit, your staffing levels are appalling - even in...Shit, your staffing levels are appalling - even in our shit hole of a hospital they&#39;re better than that - and that&#39;s still not enough.<br /><br /><i>&quot;There have been complaints for years about nurses not bothering to help frail and elderly people eat their meals, often placing food out of their reach and throwing it away uneaten.&quot;</i><br /><br />This sums it all up really - nursing staff are progressively being replaced by HCAs and yet the government and public fail to recognise the difference between trained nurses and teenagers fresh of the street.<br /><br />To me HCAs are almost invisible because, except for a few notable exceptions, they can&#39;t be trusted (and are unwilling anyway) to take responsibility for anything so I can&#39;t even pass on messages to them or ask them questions about my patients, and they can&#39;t actually <i>do</i> anything on the ward that I might want done. Which means I&#39;m constantly harrassing the nurses for stuff (even drugs I could give myself but I&#39;m not allowed because I don&#39;t have a key to the drug cupboard).pjhttp://www.blogger.com/profile/06832177812057826894noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-11904633377697228282010-07-30T05:46:58.056-07:002010-07-30T05:46:58.056-07:00All the blogs I read about endemic failures within...All the blogs I read about endemic failures within UK industy or the Public Sector, all have one common theme - fcuking useless mangement, and the further up you go, the more uselss the b&#39;stards get.<br /><br />I look forward 9sarcasm btw) to the cuts, as we know what will happen - umpteen layers of shiny arse management will be left alone, ditto the legions of support staff that the uselss box tickers seem to be able to get (no matter how tight the budget), whislt the coal face staff get the boot - all so the iron rice bowls of the bureaucracy are saved.<br /><br />Ironically, they&#39;l lthe nuse the declining performance to adgitate for higher budgets, whcih wil inevitably be spent predominantly on expanding their empires.Bodrulesnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-3377115548860290872010-07-29T06:35:37.017-07:002010-07-29T06:35:37.017-07:00What would I do without you Dino!!What would I do without you Dino!!Nurse Annehttp://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-36781150534735824022010-07-29T05:36:10.353-07:002010-07-29T05:36:10.353-07:00Oh how we laughed. Just as an aside, Uni lecturer-...Oh how we laughed. Just as an aside, Uni lecturer- what are staffing levels like in your neck of the woods? Do RNs on acute wards have more than 6 patients each? More than 10? If its closer to the later, do you think that this is a safe environment for your students to be learning in? I have alot of involvement with our school of nursing and am always trying to get them to give me a straight answer on this one. Many of the students we see on the ICU tell stories of being on duty on general wards (medical and surgical) with 2 RNs and maybe 1 HCA for 28 elderly, acutely ill patients. As for the admissions units- it would terrify me to have responsibility for a student as well as all those patients. This is often where fairly junior students are dumped. The school can only threaten to remove the students but then, uh oh, where else to put them? So they do nothing. Student numbers have almost doubled in 6 years- bums on seats=cash. Having worked as a lecturer myself ( science not nursing) I know how difficult it is to teach labs with over 100 students crammed into space designed for 50. Difference being I was not sending these students out into an unsafe workplace as part of their &quot;education&quot;. You seem to be missing the point somewhat- we are not &quot;having a go&quot; at non-degree educated nurses. I trained in the late 70s myself so do not have a nursing degree. Instead when I left nursing in the 90s I did a science degree (whilst bringing up my kids) and then went back to nursing after finding that I missed it and lecturing was not for me. The &quot;nurses&quot; that I have no respect for are the ones who are now senior managers but have NEVER set foot on a ward since the 90s. There are many of them. I wish that the NMC would rule that to keep your PIN you need to do some ward-based nursing every year. When I worked in the US many of the nursing managers HAD to keep their skills up as when the nurses worked to rule, they were the ones who had to come onto the floor and work. Medics have to stay clinically active so I think we should have to as well. Any thoughts?Dino-nursehttp://www.blogger.com/profile/06032700219601293612noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-25369421183481570102010-07-28T12:31:08.406-07:002010-07-28T12:31:08.406-07:00So the management won and capgrass was sent to do ...So the management won and capgrass was sent to do an agency shift (£32 per hour on a sunday) on a medical ward: she was allocated 4 tracheotomy &quot;weaning patients&quot; and a 5th patient &quot;self caring&quot; who wanted to go home but needed Capgrass to organise TTOs, dressing, teach how to inject fragmin, OPA, Transport, and fill in menu for lunch. Ah ha thought Capgrass........how shall i cope? Well i know! i`ll cut corners! its the only way! of course i`ll check my suction is working ect but I am not going to hoist anyone out of bed. Forget the bristol stool chart; in fact I have put it in the box of chocolate 5th patient has given me. My F1 thinks it is a chocolate selection display. Forget my saving lives; if there is an I.v. cannula............good: so what if it is 10 days old. drugs? well i really havent got the time so i`ll just sign for them anyway but not give them. anyhow at least i have done all the obs! now: time to do an ABG.......great! the patients have arterial lines, not transduced but SO WHAT! so off Capgrass trots to ICU with a blood gas. meanwhile the trachy patient in bed 2 on Cpap becomes discontected. No one notices (its a whisper flow: no alarm system0 and Capgrass is busy ringing the door bell for ICU................. anyhow Dino isnt around cos she is visiting the donut of death (CT scanner) with an ICU patient. thus the disconection goes on and on and on, and meanwhile Capgrass has decided to go to the new Costa coffee house to get a latte as this shift looks likes its going to be busy....................as Dino wants to bring the CT patient to the medical ward to as her manager thinks it will save moneeeeeeecapgrassnoreply@blogger.com